Handbook of Diabetes Management

Donna Zazworsky, MS, RN, CCM, FAAN, is an internationally known expert in case management and disease management with community populations. She is managing partner for Case Manager Solutions, LLC, and director of Grants, Partnerships and Policy for St. Elizabeth of Hungary Community Health Center---a large clinic that serves more than 18,000 uninsured in Tucson and the surrounding communities. On a personal note, Donna’s mother and two maternal aunts have experienced the devastating complications of Type 2 Diabetes. Six years ago, her mother suffered a stroke that has left her with left sided weakness. Both aunts died of diabetes complications related to above the knee bilateral amputations and end stage renal disease. Not only is diabetes prevention a personal motivation for Donna, but case management and disease management systems provide a primary focus for her work in understanding and reducing barriers for people with diabetes. Jane Nelson Bolin, RN, JD, PhD, is a professor and researcher in rural health and disease management at Texas A&M. On a personal note, Jane has had gestational diabetes during both of her pregnancies. Knowing that the incidence of getting Type 2 diabetes at a later age is more than 70%, Jane practices a personal prevention program that includes diet and exercise. Vicki Gaubeca, MPH, is assistant director of Public Affairs and Community Outreach for the Mel and Enid Zuckerman Arizona College of Public Health. On a personal note, Vicki has had Type 1 Diabetes since she was a teenager. She knows the day-to-day struggles of self management and hopes that this handbook will lend insight to the public health workers who help people with diabetes.

The Diabetes Framework.- Essentials of Quality Improvement with Special Reference to Diabetes.- The Chronic Care Model: Blueprint for Improving Total Diabetes Care.- Promoting Cultural Competence through Community Partnerships.- Hispanic American Culture and Diabetes.- Cultural Competency: Native Americans.- Preparing for the Technology Revolution in Health Care.- Caring for People with Diabetes.- Concepts on the Origin of Diabetes.- Medication Management.- Nutrition for Individuals with Diabetes.- Diabetes and Exercise.- Living Well with Diabetes: An Approach to Behavioral Health Issues.- Planning for Sick Days, Surgery, and Travel.- Self-Management.- The Diabetic Foot.- Special Care Issues.- Prediabetes: A Risky Prodrome to Diabetes.- Gestational Diabetes.- Chronic Kidney Disease.- Caring for the Uninsured and Diabetes.- Disease Management in Rural Populations: Can It Be Done?.- Caring for the Border Communities.- Utilizing Community Health Advisors in Diabetes Care Management.- Complementary and Alternative Medicine in Diabetes.- Leading Edge Technologies Related to Diabetes Care.- Business Issues.- Disease Management Research and Policy Initiatives.- Legal and Regulatory Considerations of Diabetes Disease Management.- Economics.- Funding.- Tools for Getting Your Message Out About Diabetes: Marketing/Public Relations, Social Marketing and Media Advocacy.- Case Studies.- Diabetes Disease Management Program.- Carle's Diabetes Management Program.- The Scott and White Experience—Chronic Disease Management on a Shoe String.- Nutrition Survival Skills for Diabetes—A Personal Experience.- Diabetes Continuing Care Clinic Group Visits for the Uninsured: A Case Study of Three Community Health Centers.- A Hospital Case Study in Diabetes Management—Carondelet HealthNetwork.